Gesher LaTorah 2023/24 Returning Student Registration Credit Card
Gesher LaTorah 2023/24 Returning Student Registration Credit Card
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0
Total
Student's Name
Student's Name
*
First
Last
Email of person completing form:
*
Please check one of the following
Please check one of the following
I have reviewed the information you currently have on file for my child and there are no changes.
I have reviewed the information you have on file for my child and I will list any changes and updates below (changes may include contact information, medical history, etc.).
Changes/Updates
Do you receive Self-Directive funding?
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Do you receive Self-Directive funding?
Yes
No
If you receive self-directive funding, you are not required to submit payment at this time.
Are you requesting Financial Aid?
*
Yes
No
I am registering the student for the following:
I am registering the student for the following:
Sunday - 2 hours (Tuition $575)
Sunday - 3 hours (Tuition $800)
I am paying
*
I am paying
Mandatory Registration Fee $100
Full Tuition - $575
Full Tuition - $800
Other Amount
Amount you are paying:
$
Dollars
.
Cents
Is the student fully vaccinated against COVID-19?
*
Is the student fully vaccinated against COVID-19?
Yes
No
Please explain
In order to mitigate the incidents of non-COVID-19 illnesses, health officials are strongly encouraging all participants to ensure they are up-to-date on all vaccines, including the seasonal flu vaccine. Is the student current on all vaccines?
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In order to mitigate the incidents of non-COVID-19 illnesses, health officials are strongly encouraging all participants to ensure they are up-to-date on all vaccines, including the seasonal flu vaccine. Is the student current on all vaccines?
Yes
No